Organization
ASSOCIATED GENERAL SURGEONS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY ANN CARNEY (PRACTICE MANAGER)
(630) 665-2101
Entity
Organization
Contact information
Practice address
25 N WINFIELD RD, STE 410, WINFIELD, IL 60190-1237
(630) 665-2101
(630) 665-3820
Mailing address
25 N WINFIELD RD, STE 410, WINFIELD, IL 60190-1237
(630) 665-2101
(630) 665-3820
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
408100
MEDICARE PROVIDER
IL
Enumeration date
01/09/2006
Last updated
11/22/2010
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